| Go Gastroenterology Ltd | |
|
3004 N Ashland Ave Chicago IL 60657-3012 | |
| (773) 871-4600 | |
| Not Available |
| Full Name | Go Gastroenterology Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 3004 N Ashland Ave, Chicago, Illinois |
| Authorized Official Name and Position | Patrick Foley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8479758901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Go Gastroenterology Ltd 3004 N Ashland Ave Chicago IL 60657-3012 Ph: () - | Go Gastroenterology Ltd 3004 N Ashland Ave Chicago IL 60657-3012 Ph: (773) 871-4600 |
| NPI Number | 1396328985 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 04/30/2021 |
| Medicare PECOS PAC ID | 5991104804 |
|---|---|
| Medicare Enrollment ID | O20210526001587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396328985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Arturo Olivera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922097831 PECOS PAC ID: 2365423563 Enrollment ID: I20040525000760 |
| Provider Name | Eunice Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891301446 PECOS PAC ID: 3274911144 Enrollment ID: I20220606000344 |
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